Archive for the ‘user experience’ Category

Anyone who knows me knows I love BJ Fogg’s behavior models. He is a design psychologist who runs a persuation lab out at Stanford. His latest behavior change model is based on his research about lasting change which basically falls down to: making things easy to do and changing the environment.
His latest little flip book sums up his findings to date.
Lots of lessons for us in healthcare and these are my take aways:
*we tend to love dramatic change initiatives: secret: they usually dont work
*Starter steps or baby steps arent glamorous and flashy but they work
*We clearly need to reward change and not the flashing marketing campaigns when it comes to safety (how many hours have you spent on catchy acronyms….did it make a difference??)
*BJ desribes certain things to look for that can warn you that you are designing for epiphany instead of change secret: hoping staff epiphanies will lead to behavior change doesnt usually work

If you care about patient safety AT ALL please read BJ’s latest little flipbook.. I have never read so much great info in one placehttp://bjfogg.org/lastingchange/

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According to the Office of the National Coordinator (ONC), 30% of all Health IT implementations fail. What causes failure? A workforce that doesnt want to change? Poor technology? Luck?
It’s unlikely to be any of these things. It is usually the inattention to workflow and culture that leads to failure of Health IT initiatives designed to improve patient safety.
What do hosptial IT execs know about the culture of their institutions? Probably not much. Aminstrators in general have different opinions of safety culture than front line staff (the latter see less safety). How often do we do post IT implementation and periodic surveys to see if workflow is indeed more “flowing” than bottlenecked? My guess is not very often or we would see these survey results at the top of every Health IT companies webpage. Most products now are only rated by IT execs through a propriatary report. We need a marketplace website for all thse like Amazon where end users can rate and evaluate the products!!

Read the chapter from Patient Safety and Quality for Nurses from the NIH
about workflow.
Cain C, Haque S. Organizational Workflow and Its Impact on Work Quality. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 31. Available from: http://www.ncbi.nlm.nih.gov/books/NBK2638/

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About this blog: You’ve heard of Leapfrog now there’s SafetyDog!

This blog will merge ideas from management, nursing, medicine and psychology (and many others) to offer a different view of patient safety. The author has a Masters in Industrial-Organizational Psychology, a graduate certificate in Error Science and Patient Safety and also a BSN in Nursing and has worked as an RN since 1985. All comments are welcome..you never know when one of your thoughts might save a life!

Patient Safety

IOM
Institute of Medicine..their 1999 report “To Err is human” started it all.

Leap Frog Group
The Consumer Reports for hospitals. Encouraging transparency and comparison of quality and safety.

ISMP
Institute for Safe Medication Practices. If you are looking for information on safe medication practices (and unsafe ones) they have great newsletters and other resources.

IHI
The Institute for Healthcare Improvement has an entire section on patient safety.

AHRQ
The Agency for Healthcare Research and Quality. Great site from the Department of Health and Human services. Contains research articles and safety guidelines and tools. The link is to Patient safety net

Healthcare Quarterly
Best practices and peer reviewed articles. Editor is a PhD from the University of North Carolina.